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1134856818
AGNES PADERNAL
SAN DIEGO, CA
NPI
1134856818
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: CA 881043)
Enumeration Date
2022-08-03
Last Update Date
2022-08-03
Business Address
AGNES PADERNAL RD
1809 NATIONAL AVE
SAN DIEGO, CA 92113-2113
Phone number: 619-515-2300
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Mailing Address
AGNES PADERNAL RD
823 GATEWAY CENTER WAY
SAN DIEGO, CA 92102-4541
Phone number: 619-515-2300
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